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ERCP Image Library


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the ampulla



an abnormal ampulla



the ampulla between two duodenal diverticulae



tumour infiltrating the duodenal wall



tumour now stented



a stone has been removed from the CBD with the ampulla on the edge of a duodenal diverticulum



a sphincterotomy has been performed. The duct is now instrumented with a guidewire



food residue in the duodenum



extracted stone seen in the background



extracted stone seen in the foreground



endobiliary metallic stent



the inflated balloon has been withdrawn through the sphincterotomy and is lying in the duodenal lumen



a pigment stone seen at the ampulla



stone seen right at the ampullary opening



swallowed metallic foreign body - probably tablet packaging



transampullary biliary stent - inserted at the time of laparoscopic cholecystectomy when unsuspected CBD stones are encountered to facilitate subsequent ERCP.